Individual provider · Type 1 NPI

Petergay Johnson

Registered Nurse · Rosedale, NY

NPI number 1417854209 Active

Practice location

25525 147th Dr
Rosedale, NY 11422-2838

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X814794 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1417854209

Petergay Johnson's National Provider Identifier is 1417854209, issued on Oct 23, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Rosedale, NY. The record was last updated on Oct 23, 2026.